Date checklist completed (month, day, year)
TRANSITION PROPOSAL CHECKLIST
 Initial
 6-month update
To be completed with the youth as part of the transition planning process
 90 day final plan
* NOTE: This checklist is meant to accompany – not replace – the written transition proposal
Youth Information
First name and middle initial
Last name
Case number
Projected date youth will leave care (month, day, year) Date of birth (month, day, year)
Case Life Skills assessment completed:
 Yes
Current age
Gender
Date assessment completed OR projected date assessment will be completed (month, day, year)
 No
Transition Teams should assist youth with the following needs
(including the completion of necessary applications) prior to case closure:
Housing
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Housing plan (specific housing options, housing budget, furnishings needed, etc.)
Back-up housing plan (other than staying at a homeless shelter)
Housekeeping skills: cleaning, minor household repairs, grocery shopping, etc.
References and/or co-signer
Sample lease and rental application
Public Housing and/or Housing Choice Voucher (Section 8) application
Resource list (with contact information) of services to assist with housing supplies/furnishings or rent/housing (e.g. Public housing,
Section 8 vouchers, subsidized housing, Family Unification Program vouchers [if available], Transitional Living Programs under the
Runaway and Homeless Youth Act)
 Education on rights as a tenant
 Education on local homeless shelters (how to access services, contact information, visit/tour, etc.)
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Health Insurance
 Information about the Affordable Care Act and the category providing youth who age out of foster care with coverage until 26, including
contact information and details about how to access this coverage
 Comprehensive physical, dental, vision, and hearing screenings before leaving care
 Updated health records, including:
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Medical records
Dental records
Vision records
Mental health records/past evaluations
Immunization records
Diagnosis confirmation
List of current medication/prescriptions
Any other documents related to medical history
Adequate supply of all prescribed medications, including instructions on how to access refills
Health insurance/Medicaid card
Application for Medicaid or other type of health, dental, and vision insurance
Authorization to remain with the same medical professionals OR a plan to switch care providers
Contact information (names, telephone numbers, and addresses) of medical, dental, and mental health providers
Resource list (with contact information) of various local free and/or sliding scale health clinics and medication assistance programs
Information about services to prevent pregnancy and sexually transmitted diseases (e.g. Planned Parenthood)
If needed, a plan for a designated adult to make health care or other decisions on behalf of the youth (may require court involvement)
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Education
If workforce bound:
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School/educational records/transcripts
Updated copy of the youth’s Individual Education Plan (if applicable)
High school or GED diploma
Aptitude/vocational interest assessments to help determine career path of interest
Certificates of competency/training certificates
Applications to vocational/trade school
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
If college bound:
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School/educational records
Updated copy of youth’s Individual Education Plan (if applicable) to be provided to the college/university
High school or GED diploma
Aptitude/vocational interest assessments to help determine career path of interest
ACT/SAT prep and testing times and places
College visits
College applications
Free Application for Federal Student Aid (FAFSA) application: www.fafsa.gov
Applications for state-specific programs for youth in or aging out of foster care (e.g. Education and Training Voucher program, Former
Ward program, extended foster care services, etc.)
 Applications for other available grants, scholarships, and tuition waiver programs
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Employment
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Resume (including both work and volunteer experience and contact information of at least three references)
Sample job application
Professional interview outfit
Mock job interview
Job or career fair
Information about job placement agencies (e.g. Job Corps, AmeriCorps, Peace Corps, Conservation Corps)
Job shadowing opportunities, mentorships, internships, employment training programs, etc.
Juvenile record expunged/sealed
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Financial Assistance

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Checking account
Savings account
Education about the risks of credit cards and the difference between credit and debit cards
Stable source of income (job, public assistance, etc.)
Money management/budgeting skills
Monthly budget (including a long-term savings plan)
Credit report check
Education about the risks of identity theft
Education on writing checks and balancing checkbooks
Education on reading a paycheck stub
Education on taxes (e.g. irs.gov/app/understandingTaxes/student)
Information about resources for free tax and Earned Income Tax (EITC) preparation
Resource list (with contact information) of other available services (e.g. Aid to Dependent Children [ADC] program, Supplemental
Security Income (SSI) program, other state-specific programs, etc.)
 Supplemental Nutrition Assistance Program (SNAP) application
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Continuing Support Services
Lifelong connections to caring adults:
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Permanency plan (continued exploration of the possibility of adoption, guardianship, and/or reunification)
Connections to birth family members with whom youth can maintain a safe and appropriate relationship (including siblings)
Contact information (names, telephone numbers, and addresses) of siblings (particularly if siblings are still in foster care)
Contact information (names, telephone numbers, addresses, and relations) of all known relatives (with permission)
Contact information of agencies offering Family Finding services
Connections to other significant adults committed to providing ongoing support
Completed Permanency Pacts with as many supportive adults as possible: www.fosterclub.com/files/PermPact.pdf
Contact information (names, telephone numbers, and addresses) of supportive adults to turn to in crisis situations (e.g. youth is lost,
scared, depressed, anxious, sick, inured, out of food and money, utilities disconnected, heat goes out, etc.)
 Updated Life Book
 Compilation of personal history and photographs
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Connections to the community:
 Resource list (with contact information) of local support groups, mentoring programs, or other supportive services
 General community resource list (with contact information) of local services (e.g. health clinics, employment agencies, public assistance
services, housing agencies, homeless shelters, etc.)
 Connections to peer-to-peer websites, such as:
 www.teenvoices.com– For teen and young adult women.
 www.fosterclub.com– A national network for young people with foster care experience.
 www.fosteryouthaction.org– The national foster youth action network.
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Other
Adult services:
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Application for state benefits
Supplemental Nutrition Assistance Program (SNAP) application
Aid to Dependent Children (ADC) application (if youth is a parent)
Medicaid application
Public Housing and/or Housing Choice Voucher (Section 8) application
Education on and applications for other forms of public assistance (e.g. Emergency Cash Assistance Programs, Low Income Energy
Assistance Program, etc.)
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
If youth has special needs:
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Consult with Adult Services about eligibility upon leaving care (including Group Residential Housing)
Screen for disabilities to determine Supplemental Security Income (SSI) eligibility – ideally at age 16/17
SSI application
Disability insurance application
Other assistance applications (e.g. Assistance to the Aged, Blind, or Disabled)
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Transportation:
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Education on and experience driving and maintaining a car
Education on and experience using public transportation
Bus cards
Driver’s license
Driver Education classes
Car insurance (if applicable)
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Life skills:
 Connections to independent living services, classes and other programs specific to youth in foster care that will assist after leaving care
 Connections to free online resources, such as:
 www.casey.org/youth/resources.htm – Offers various online resources youth can download, including I Know Where I’m Going (But Will My Cash
Keep Up?), a workbook focused on money management, and I’m Getting Ready. I CAN DO IT!, an interactive workbook addressing many topics,
including legal issues, safety, searching for an apartment, nutrition, home and money management, and goal setting.
 www.onyourway.org– Youth can create a profile and learn about various topics that will help youth create a life plan, access education, and achieve
employment.
 www.transition.fosterclub.com– Connects youth to various resources, including the Permanency Pact, 21 things youth should not leave foster care
without, information on how to access higher education, and other publications designed to assist youth become independent.
 www.youthhood.org– Offers information for youth about education, positive choices, youths’ rights, health, independence, and self-advocacy.
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
If Extended Foster Care Services Are Available:
 If potentially eligible, information about the program, including details about eligibility and other requirements, the services and support
young adults can receive, and how to access the program (including contact information)
 If eligible for extended adoption/guardianship subsidies, information about how to access services (including contact information)
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
____________________________________________________________ :
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
____________________________________________________________ :
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
 _______________________________________________________________________________________________________________
Signatures of Transition Team Members
Signature of youth
Email
Phone number
Date (month, day, year)
Signature of caseworker
Email
Phone number
Date (month, day, year)
Signature of guardian ad litem
Email
Phone number
Date (month, day, year)
Signature and role
Email
Phone number
Date (month, day, year)
Signature and role
Email
Phone number
Date (month, day, year)
Signature and role
Email
Phone number
Date (month, day, year)